POL201_ Assignment WK2
POL201_ Assignment WK2
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Date Created: 11/06/15
Running Head MEDICAID Medicaid and Federalism Jennifer Robinson POL 201 American National Government Instructor Jennifer Stephens July 29 2013 MEDICAID 2 In a nation with a rich history such as ours it is not hard to believe that we tend to disagree from time to time We live in a country where our politicians argue like brothers and sisters on a Monday and by Thursday they are shaking hands and laughing like the best of pals That is the America we know and love One of the causes for some of our nation s biggest disagreements stems from federalism LevinWaldman describes federalism as a governmental system whereby power and authority are shared by national and state governments with ultimate authority derived from the people 2012 States what to be granted more power over its people and monies among other things but the national government is not willing to fully relinquish control to the states this is the case of the Medicaid program Unlike Medicare which is solely controlled by the national government Medicaid is partially funded by the national government and ran by the states Medicaid will only function correctly if both the national government and state can come to an agreement that works for both without have devastating consequences for the people who depend on it Medicaid is a joint federalstate program and the largest health insurance program in the US for lowincome parents children and people with disabilities Medicaid is also the fourthlargest item on the federal budget and the firstor secondlargest item on most state budgets Botoseneanu 2012 Medicaid has not always functioned as it does today In 1906 the American Association for Labor Legislation campaigned for over a decade for the adaptation of sickness insurance but their efforts for such a health reform was put on the back burner with the country39s entry into World War 1 From 1935 1940 s Congress held hearings on several health insurance bills and in 1948 President MEDICAID 3 Truman became the first sitting president to officially endorse national health insurance but failed put a plan into place In the 1950 s Congress took a small step by creating a grant program to provide federal funds to states for making health care payments for individuals on welfare In 1965 President Lyndon B Johnson signed the Medicare and Medicaid Bill into law known as Title XIX which is known today as Medicaid Reagan amp Hetrick 2004 The program has an expansive history and with it has come some of the toughest debates about the roles that the state local and national government should play in the program Some elected officials feel that the program should continue on its current path where the state and national government share the financial responsibility equally and the states set their own regulations and others feel that the states should take full responsibility for the program There are many pros and cons associated with this program and how effective it is in aid the people Some of the cons with this program are that there are limitations as to the type of treatments covered by Medicaid and Medicaid reimbursements are often lower compared to what doctors usually charge resulting with doctors not willing to accept Medicaid patients unknown 2011 In addition some state governments feel that federal funds are not appropriated fairly between the wealthy states and the poorer states and the costs of Medicaid have grown explosively Spending jumped from 118 billion in 2000 to 275 billion by 2010 And even before the 2010 Health Act was passed spending on the program was expected to double in cost to 487 billion by 2020 The 2010 law will boost Medicaid39s cost by about 100 billion a year by 2020 as cited in Edwards 2010 There are some good things about the program as well such as it is helping people to receive health care who would otherwise have to go without needed medical attention and it also guarantees that medical practitioners will have a steady ow of MEDICAID 4 clients and they are sure to receive payment from the government and some states are offer incentives to practitioners who participate in the Medicaid program Whatever the future of healthcare and Medicare maybe one thing is certain in order for the program to function correctly it will take an agreement reached by both the state and national government that will continue to work for the part of our population that depends on it As expansive as the history of Medicaid is it is continuing to go through growing pains With the passing of the Affordable Care Act in 2010 our country continues to strive for affordable health care for all It will be interesting to see where our elected officials will change the face of health care in our country in the next 30 years MEDICAID 5 References LevinWaldman O 2012 American Government San Diego CA Bridgepoint Education Inc Retrieved from httpscontentashfordedubooksAUPOL201 121 Botoseneanu A 2012 Policy and Law Journal of Health Politics Vol 37 2 297328 Retrieved from httpjhppldukej ournalsorgcontent372authorindex Edwards C 2010 Medicaid Reforms Retrieved from httpwwwdownsizinggovemmentorghhsmedicaidreforms Reagan E amp Hetrick S 2004 July Medicaid Primer An overview of Medicaid for Practitioners Retrieved from socialworkmsuedustudentresmedicaidmedicaidprimerpdf Unknown 2011 Medicaid Pros and Cons Retrieved from httpwwwmedicaidpatientscommedicaidprosandcons
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